Carrie Louise Shimkus, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5229-125 Issued in WI

Practice address

1541 Annex Rd
Jefferson, WI 53549-9803

Phone

(920) 674-8794

NPI assigned

Apr 1, 2014

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Psychology Center S CGroup PAC ID 6507857463, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Psychology Center S C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1710942107
  Medicare reassignment Care Compare group NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Illinois Avenue

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Amherst Clinic

  • Clinic/Center
  • Amherst, WI
  • NPI 1316616428
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1871911412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KABEL AVE",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013918",
            "telephone_number": "715-361-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 ANNEX RD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499803",
            "telephone_number": "920-674-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMKUS",
        "first_name": "CARRIE",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5229-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39-6005705",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherin Almira Schultz, MS, LMFT, CSAC
• Dean Harley Schwieso I
• Elizabeth Anne Secrest, BS
• Select Integrity Family Services, LLC
• Cynthia Carolina Sepulveda Rodriguez, APNP
• Samantha Rae Sims
• Lindsey Leigh Slatter
• Renee Spitzer, PHARMD
• Sport & Spine Clinic of Fort Atkinson Limited Partnership (Sport & Spine Clinic of Jefferson)
• St. Coletta of Wisconsin

• Professional Counselor in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.